Nursing Ethics- Doc

Added on - 23 Sep 2019

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1Early Recognition of a Deteriorating Patient
2Table of ContentsIntroduction......................................................................................................................................3Pathophysiology..............................................................................................................................3Case Studies.....................................................................................................................................4Influences on Clinical Decision-Making.....................................................................................5National Standards...................................................................................................................5Professional Influences............................................................................................................7Legal, ethical and practical considerations on early recognition of deterioration...........................8Legal Influences.......................................................................................................................8Ethical Influences....................................................................................................................9Evidence to be Considered......................................................................................................9Recommendations..........................................................................................................................10Conclusion.....................................................................................................................................11References......................................................................................................................................12
3IntroductionTaking care of deteriorating patients is crucial for obtaining better healthcare outcomes. The roleof nurses is crucial in this case. If the signs of deterioration are detected at an early stage,managing the situation becomes easier.The nurses also play a crucial role in prioritizing theactivities in emergency situations (Flenady et al., 2016). As an effect, taking the right course ofaction becomes easier when the nurses become able to prioritize the tasks appropriately.The riskof deterioration is quite high in the case of Sepsis (Gauer, 2013).In such cases, taking rapidaction is necessary to improve the health condition (Godin et al., 2015).The researcher takescare of the patients with Sepsis. The patients who are dealt with by the nurse need the care oflevel 0 and level 1. Such patients are at higher risk of deterioration. However, the potentialadverse effects on health can be prevented by taking the clinical decision at the right time.However, clinical decision making for deteriorating patients is influenced by a number offactors. Nursing Ethics is one of the factors which impact on the decision making of theprofessionals. The decisions are also influenced by the evidence, national and professionalstandards. In this essay, the factors influencing the clinical decision-making of the deterioratingpatients of level 0 and 1 with Sepsis are discussed. The role of evidence at the time of decisionmaking is also considered in this essay.PathophysiologySepsis is described as a clinical syndrome (Brent,2017). It is caused by the actions ofimmune systems damage tissues in the body while coping with an infection (World HealthOrganisation, 2018). Sepsis also causes Sepsis shock if not detected and managed on time(Casey,2016). Sepsis with shock creates a life-threatening condition. It causes by low blood
4pressure even when fluid replacement remains adequate. Sepsis with shock also causes organdysfunction or failure. Sepsis can be fatal for the people of all ages. Sepsis can be caused due toany pathogen (Daniels. and Nutbeam,2017). However, the patients with resistant pathogens areat higher mortality risk (World Health Organisation, 2018).Case StudiesIn case of the patient Q, the NEWS2 score is 6. The patient is found with confusion and soakedin smelly urine. The high NEWS2 score It indicates high risk of mortality.The patient wastreated after four hours of contacting the General Practitioner. In the case of high mortality risk,waiting for long time might have adverse effect on the patient’s health. The patient was short ofbreathe also. The patient C was initially treated with medicines and refused to visit the hospitalbut after some time, she was suspected to be dehydrated. So, intravenous fluid was needed.Under this circumstances, the patient was taken to the hospital. The nurse communicated aboutthe suspected Sepsis of the patient using SBAR framework.The patient D has lower risk. However, in this case also prompt action was taken to avoidfurther degradation. The patient was alert. After initial inspection, it appeared that the patienthave Cellulites. However, the samples were sent to culture. The patient was given oralantibiotics. He was also monitored at home for 24 hours.Taking rapid action is necessary to manage Sepsis effectively. In this case also, the actions weretaken rapidly.
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